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Qu'" Body Art Inspecs Report G Date: - o� :xr ,..�o l a San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: (209)468-3420 Program • c°<iFo"aa`P w. wwsiogv.org/ehd Element: PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONERIARTIST NAME PRO537432 Wayne Delan hder Observations and Corrective Actions: 2. Instruments or other reusable items shall be placed in a basin of water or cleaned, decontaminated, packaged, and sterilized immediately after each procedure. HSC 119309 If not being processed for immediate use, clean instruments shall be placed in sealed sterilization package that contains process indicator, name of instrument, date sterilized, and initial of person/operator. HSC 119315(a) 4. Sterilizer shall be spore-tested after initial installation, after major repair, and at least once per month. A written sterilization shall be maintained for 3 years. The log shall include spore-test results each sterilization cycle, date, contents, exposure time and temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the sterilizer after a failed spore-test. HSC 119315(b) 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a minimum of 90 days after use. HSC 119315(f) 7. The sharps waste container shall be within arm's reach and labeled with the word"sharps waste"or with the biohazard symbol and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with section 119307. 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in Form B. HSC 119308(b) 31. A body art facility shall be separated from any residential areas used for sleeping, bathing, or meal preparation and shall not share a common entrance or toilet facility with residence. The toilet facility must have a sink with hot and cold water, containerized liquid soap, and single-use paper towels that are dispensed from a wall-mounted, touchless dispenser. HSC 119314 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written Infection Prevention and Control Plan (IPCP)shall be maintained, followed and updated. HSC 119313 Reinspecion on/about: A reinspection fee of$125 per hour may charged. Page 2 of 3 EH-04/2014